The ability to survive is one of the most important goals of business organizations recently, this requires the ability to communicate with the outside world and its changes so in order to achieve this communication; Marketing orientation concept emerged, which is has had a significant impact on how things are going in business organizations, because it focuses on examining the parties that could affect the organizations business and its goals. These parties are : the customer, competitor, and inter functional coordination in the organization, therefore, companies that apply the concept of market orientation remain abreast of the needs of its customers on the one hand ,and activates and movements of competitors on the other hand.

The purpose of this paper is to explore the best practice of small medium enterprises (SMEs) from Japan. Japan has been proven to be successful lesson to be followed by Malaysia. Japan’s SMEs began after World War II in 1945. Thus, it has shown that the development process has intricacies and can be studied by Malaysian SMEs, which began in the 1970s due to the revolution of new economic policies. This paper provides the understanding of the development of SMEs between Japan and Malaysia. Further, we identify a gap between SMEs in Malaysia and SMEs in Japan as best practice. The challenges SMEs face might be different in their respective countries—it might be from the perspective of cultural aspects, market environments, and more, but with the initiative measures, pro and cons of both countries’ SMEs can enhance their duty as the backbone of a country’s economy.

This study was conducted to identify any possible association between the different microorganisms within oral cavity of smokers and oral cancer patients. Isolates were collected from 30 volunteers; smokers and oral cancer patients during August and October 2013 in Khartoum Dental Hospital, Sudan. Swabs were obtained from both patients and smokers who were not diagnosed as diabetics or immunosuppressed. Administration of antibiotic, steroid or other treatment were taken in concern as well as age, gender beside smoking history. Each specimen was aseptically cultured on nonselective media under both aerobic and anaerobic conditions, then the conventional methods for identification were done. A total number of 45 bacterial isolates were represented by 6 genera of bacteria; (37.7%) Staphylococcus spp, (26.6%) Bacillus spp , (22.2%) Streptococcus spp , (8.8%) Peptococcus spp., Aerococcus spp and Micrococcus spp (2.2%), whereas 25 yeast isolates were represented by Candida albicans. In the smokers group; Peptococcus spp was detected only in subjects who is being smoking. Moreover, the study showed significant(r = 0.563) correlation between oral cancer and smoking. In patients group; Streptococcus spp and C. albicans were detected only in individuals without treatment. Counts of C. albicans were elevated in smokers group than patients, while, Micrococcus spp and Aerococcus spp were detected in patients but not in smokers. Study concludes that both of Micrococcus spp and Aerococcus spp may be considered as diagnostic indicators of oral cancer.

This study examines non-linear effect of fiscal policy (represented by increases in government consumption) on private consumption. Actually, it suggests that this effect depends on the nature of fiscal policy changes. Using a STR (Smooth Transition Regression) model on Tunisia data over the 1975-2010 period, this paper provides evidence that the expansionary effect of higher government consumption decreases when fiscal policy is expansive.

This study presents treatment of domestic wastewater collected from the Harmony Lodge Ifite Awka, Anambra state using laboratory scale constructed wetland vegetated with Cyperus esculentus(tiger nut)plant as biofilter.to determine the removal of pollutants. The study was conducted from August 19th 2016 to September 2016, at Nnamdi Azikiwe University laboratory, Awka. Result of laboratory analysis on samples of wastewater collected showed reduction in pollutant of nitrate 50%, phosphorus 42%, ammonia 36%, COD 59%, BOD 70%, pH range was changed from 6.59 to7.15. Analysis of Variance (ANOVA) was used to analyse data obtained. Differences in parameter concentration between the influent and effluent parameters and also between effluents for three detension periods were considered significant at 5% level of significance (i.e p . The concentration of these parameters decreased significantly as a result of the treatment. This shows that the cyperus plant is effective in pollutant removal from domestic wastewater.

Institutions of higher learning in Kenya are faced with a multiplicity of challenges due to policy shifts that have led to massification of education. The structural adjustment programmes (SAPS) together with other neoliberal policies introduced by Britton wood institutions has had major implications for the education sector in Kenya. The greatest effect has been on the human resource working in institutions of higher learning that have been faced by various challenges including career stagnation. These has led to a pool of demotivated staff which has a spiral effect on the quality of service provision thus leading to frequent and persistent strikes by both the staff and the students. All these are linked to organizational politics and specifically its subset the politics of information. Therefore, the purpose of the study is to examine the influence of information power on career development among administrative staff in public universities: a case of University of Eldoret (UOE) in Eldoret, Kenya. The specific objective of the study was to determine the influence of Information power on career development among administrative staff in public universities .The research design employed was a case study to enhance collection of extensive and detailed information on the research objective. The target population comprised of 134 permanent administrative employees of University of Eldoret. This also formed the sample size since the population was not big enough the researcher employed a census technique in the selection of respondents for the study. However only 130 respondents were able to fill their questionnaires and return. Closed ended questionnaires with the aid of likert scales were employed as the data collection instrument for the study. Data was analysed with the aid of both descriptive and inferential statistics specifically correlation to test the effect of information power on career development. This data was then presented using tables, charts and graphs to enhance analysis of data. This study is of great significance to policy makers, Human resource practitioners in universities, as well as the University management who are able to make clear and effective policies on the issue of information power and career development.

It happens many times that the dental surgeon faces a tricky situation when fracture of the root tip occurs during tooth extraction. It is frequently a time consuming and a stressful situation for the patient as well as to the surgeon when attempting removal of these root apices . Though many techniques have been described in the literature, they have some disadvantages. The present article describes a case series of two reports in which we have done atraumatic removal of the broken root tips with the help of endodontic files.

Medullary aplasia (MA) is a rare and severe affection. It is much rarer in children. The etiologies are multiple: constitutional, acquired, and idiopathic. In order to evaluate the epidemiological, clinical and biological aspects of bone marrow aplasia in a pediatric population, we carried out a retrospective study of 9 cases collected in the hematology department in collaboration with the department of anatomy pathology of the Hassan II CHU in Fez over a four-year period from January 2013 to December 2016. Age ranged between 1 and 14 years, with a sex ratio of 3.5. The anemic, hemorrhagic and infectious syndrome was noted respectively in: 9, 7, and 6 cases. The hemoglobin varied between 3.3 and 7.3 g/dl with an average of 5 g/dl, anemia is normochrome normocytic argenerative in all our patients. Neutropenia was found in 100% of patients, and all patients had thrombocytopenia with platelet counts ranging from 500 to 105000/mm3. The BOM-coupled myelogram was performed in all patients, confirming the diagnosis of AM. For the etiologies, Fanconi Anemia was evoked in 4 cases and idiopathic in 5 patients.

This study was geared towards appraising the curriculum status of integrated Social Studies in Kenyan primary schools in the wake of a lot of fluid content which keeps on changing day in day out. To deal with the quick changes there’s need to use Curriculum foundations sieves to allow only concrete content in the integrated Social Studies Curriculum. 250 teachers were sampled using stratified simple random sampling for teachers and purposive sampling for Tutors from the two Primary School Teacher Training College in Nakuru Sub County, the chair-persons of the Head teachers of the five zones of Nakuru Sub-County and the Quality Assurance and Standards Officers. Research Instruments were questionnaire and semi-structured interview guide. This research study adopted a mixed research methods approach. Both descriptive and inferential statistics were applied in the analysis of data. Findings show that the content of integrated Social Studies (SST) is beneficial to learners, it contributes to the attainment of the national goals of education, it has been changing very quickly within short span of time hence need to elongate time before next revision is done, the Social Studies teachers need to be taken for refresher courses to improve their teaching skills, there’s relationship among topics taught from one class and the next and that integrated Social Studies curriculum has integrated emerging issues. The recommendation is that the government through Kenya Institute of Curriculum Development (KICD) should take time before reviewing Social Studies curriculum.

Macrophage activation syndrome is a rare but a potentially fatal disease. This pathology is defined not only by clinical criteria (fever, splenomegaly), but also by biological criteria (bi or pancytopenia, hypofibrinogenemia, hypertriglyceridemia, hyperferritinemia) and cyto histological ones (hemophagocytosis in the bone marrow, in the spleen or in the peripheral lymph nodes). It may be primary or more often reactive to an infectious or a malignant pathology, an immune deficiency, or an autoimmune systemic disease. Its occurrence imposes a quite exhaustive etiological assessment, as the associated diseases are multiple. We report in this work the case of a patient in whom a macrophage activation syndrome secondary to a bacteraemia was diagnosed in the laboratory of Hematology of the Hassan II University Hospital -Fez, and whose evolution was marked by a good response to antibiotic therapy with a regression of clinical symptoms and an improvement of the biological parameters. However, the prognosis for macrophage activation syndrome remains severe with about 50% mortality in the literature. It is therefore considered as a serious condition, with a severe prognosis and a treatment that is still poorly codified.

Primary plasma cell leukemia: a rare type of leukemia and plasma cell proliferation Plasma cell leukemia is defined by the presence of more than 20% plasma cells in the peripheral blood or a number of circulating plasma cells greater than 2G/L. The primary form: observed may be de novo, and may reveal a multiple myeloma until then unknown. This has similarities with multiple myeloma and has some special particularities that authors will expose in the light of a case diagnosed in the laboratory hematology Hassan II university Hospital of Fez.

Streptococcus constellatus is a germ that belongs to the Streptococcus milleri group, it has a particular tropism for the digestive tract and the hepatobiliary region. It is found in deep abscesses in immunocompromised patients. 70-year-old patient admitted to the emergency room for a pain in the right iliac fossa. The abdominal scan showed a retro cecal collection probably related to an appendicular abscess. The cytobacteriological study of abscess sampling in peroperatively demonstrated the presence of Streptococcus constellatus associated with Escherichia coli. The identification of a streptococcus of the milleri group is difficult by ordinary methods and must make search for an abscess.

The regional human capital trend is scrutinized in this article relying on indicators of the cultural and intellectual potential based on the statistical data of Primorsky krai region. Additionally, the effect of migration processes on the labor potential is deliberated, just as the budgetary and fiscal stimulation of human capital inflow is considered at an angle of the regional labor potential increase.

The aim of this study was to estimate the prevalence and risk factors for different neurological disorders. We also aimed to explore the effect of different socio-demographic variables in neurological disorders. Methods: A prospective cross-sectional study was carried out at Neurology Outpatient Clinic of United Hospital Ltd., Bangladesh, from December 2015 to March 2016 to explore the experiences of patients with neurological disorders. A separate questionnaire was used to collate the information. All registered patients medical records were reviewed. Microsoft Office Excel 2007 software package was used for statistical analysis. Data of 438 patients were collected and analyzed of which 239 (54.57 %) were females and 199 (45.43 %) were males. This study showed a high prevalence of epilepsy, stroke and migraine and an overall low prevalence of Parkinsonism, Alzheimer’s and dementia. The values were 121, 97, 52, 43, 23 and 102 for epilepsy, stroke, Alzheimer’s, Dementia, Parkinson’s and Migraine accordingly. Most of the patients (79.95%) were unmarried in our observational study. Only 20.06% were married. 41.03% and 26.18% patients were alcoholic and smoker respectively. Highest percentage of the patients (27.27 %) belonged to the age group 61 - 70 years, 21.23% to the age group 41 - 50 years and 17.05 % to the age group 51 – 60 years. Moreover, 42.98% of the patients were from community colony. The findings from the present study supported some previ¬ous research studies showing that women are more adversely affected by different neurological disorders than men. Therefore, more epidemiological studies need to be conducted to look into the changing pattern of neurological disorders using a uniform methodology.

Staphylococcus aureus stays a standout amongst the most much of the time segregated pathogens in both group and hospital practices. The organism form has been observed to be the most widely recognized bacterial agent recuperated from blood circulation system diseases, skin and soft tissue contaminations, pneumonia and healing facility procured post-agent wound diseases. Changes in the example of antimicrobial helplessness of S. aureus and different living beings have been accounted for around the world, particularly in developing countries, making antimicrobial agents progressively less viable in treating bacterial infections. Most strains of the Gram-positive bacterium Staphylococcus aureus are avirulent, anti-infection soft commensals; in any case, in the course of recent decades there have developed various pandemic, harmful, anti-microbial safe strains including methicillin-resistant (MRSA) and vancomycin-resistant (VRSA) strains. This paper presents the review analysis of various studies based on antimicrobial patterns detection of Staphylococcus aureus.